HomeMy WebLinkAbout1419 Cape Cod Cir - Permits/Gas - Log, Line, Pipe - 12/11/1996SETBACKS
Community Planning & Environmental Services PERMIT
BUILDING
REAR
Building Permits & Inspections Division
P.O. Box 580 221-6769
C tyof Fo t Couins Port Collins, CO 80522-0580 _
`EFT RGM
JOB SITE ADDRESS
Permit Type
work Type - Category TYPE
F
Use Zone Permit LevelRESIDENTIAL
Proposed Use
0
UEl"
Subdivision PUD
FilingPERMIT
FEES
�•
Q
FROM
Subdivision/PUO
Building,Valuotion
LD
992
�
Lot
01ock
Porcel No.
+
� r -ACCOUNT,,y�
FEE ';
sDATEPAID
._.e
Last
First
M.I.
Lot Area
�.
DINSKY
BLDG PERMIT FLAT
15 00
Address
ciN
MatFile Na.
z
C TY-=SALES USES T'A
00 °
'-
3
1419 CAP D
C WY Y� SALES SAX �
tom;,, �0.00€E
� ,
-
Q
..
State
Zip
Phone No.
Off St. Parking
CO
1 80525
-
�`
Company Nome
Contractor License No.
e
�CALL221-6769
POUDRE VALLEY AIR
- 35
» »
"-
city
state
IAddress
812 STOCKTON
F N
C
TO SCHEDULE INSPECTIONS
zip
Phone
sobs Tm Na.
`5 �; €,, ` r r'€
T _�
(See reverse side for Inspection Description)
O
;� ,,_.
,
.r,
u
80524
493-2050
14
Construction Type
Occupancy Group
Fire Sprinkler
fireplace/Staves
Building Square Footage
Basement Squore Footage
No. of Stories
Building Height
N M. �_
..
GL -..
LG .
Occupancy Load
Occupancy Separation
Area Separation
Fire Containment
NE
3
No. a( Dwelling UnBs
No. of Bedrooms
No. of bathrooms
Stock Plan/Options
t as > - �
a
0
�.
Text
o
GAS. LOG INSTALLATION -.
G
a
u
,
W
ZBA Case No. BRB C -
DEPARTMENTAL
� �;-•_ �
d � �
.�"` `
•
' • '
Permit Date
DECEMBER 11 1996
f)EPARTMENT.r €
�sTATuS gyp,
DATE :_
_.
Eletlrica
PERM
IT ISS
N/A
As a condition for the issuance of a it, I hereby declare that I am an owner or the -
_OTC
owner's agent, authorized to perfo e proposed work on the property described herein.
.r r
-� a'..
' -"°Mechanical
.
N/A
I agree to comply with all the TequMnentscontained herein, and City ordinances, and State
L»�--= ,mom-»--` •.•--°•'A,�s
�`-»-�
laws associated with such work I understand that such permit may be revoked in the event
that issuance was based on incorrect information. This permit shall become null and void if p
--Plumbing
the work authorized by such permit is not commenced, suspended, abandoned, or not
'
P "_"
•f
N/A
inspected within 180 days from the date of such permit.
'" °'� ' "" """ '' " `
""
";
- "-"-
_. -
aver
N/A
Dats
signature,